Human Rapamycin Longevity Clinical Trials Begin
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One day, we will be able to die on our own terms, when we want to go, instead of having our life and our loved ones' ruthlessly ripped away from us. And it will be thanks to these individuals.
But then maybe my thinking is influenced by having watched Altered Carbon [1]?
[1] https://en.wikipedia.org/wiki/Altered_Carbon_(TV_series)
These are problems we can work towards solving. They are not a reason to abandon longevity research that can and will quite literally save billions of lives.
But being immune to aging does give the human race other options where a 100 year trip might now be impossible if you can reach a age of 1000 a 100 year stellar trip might actually be acceptable.
Does makes me wonder how many memories can the brain actually store and not degrade. when you go into your 4th century will you forget your 2nd century slowly.
To remember the sweet and good things I did, said, and experienced as a teenager, with that same sharpness seems like the most desirable gift of all.
It’s becoming increasingly obvious the usual conflation of capitalism with democracy the US influenced West has been doing is wrong.
But in all seriousness, I agree that being able to prevent aging and mortality likely would not lead to paradise. Probably access to this technology would not be distributed equitably, and we would see an elite few living forever, with mere mortals resigned to a disposable under-class.
Also you have the problem of where you put this growing population of immortals? It seems that you would have to solve the problem of interplanetary colonization before we'd be ready to solve death.
These things may actually be tangled together. Interplanetary travel is likely to cause some radiation damage to the bodies of the astronauts. Radiation damage manifests a lot like premature aging; these two may have something in common.
In that case, colonizing planets and trying to treat aging will have to develop together, much like development of airplanes and weather forecasting did.
Unless you can prevent people from traveling overseas to receive anti-aging treatments, clinics will spring up from Costa Rica to Indonesia. The US, even if it wanted to protect the IP of the few very hard, will have to weigh it against the risk that a systemic competitor like China will provide treatments for artificially low price just out of spite and to gain some sympathy points.
Look at the Cold War. During the conflict with the Communist Bloc, inequality in the West actually went down. In presence of ideological competitors, Western governments learnt to mitigate the worst excesses of their own systems.
A lot of the suffering inherent to human life is caused by moral compromises made for the sake of future generations' well-being. Instead, if the norm was living long enough to have to face the long-term consequences of your actions first hand, maybe old people could not afford to be so rigid. They would not be able to "wash their hands" by dying (and possibly leaving any wealth amassed through immoral means to their innocent heirs.)
Personally, what I'm looking forward is augmenting human cognition over long periods of time. I do worry that the result would not necessarily be any more agreeable, or even comprehensible, from our current standpoint, than (post-)modernity would be comprehensible to a caveman; but what I fear is something else entirely: I fear that people would occupy their expended lifespans with centuries of technologically augmented personal drama and sociopolitical "4D chess" - an advancement in complexity of our fundamental primate nature, but otherwise not different from what we do now.
I already find it disappointing that the most valuable thing most people have going on is their "personal" life. And an extension of this principle towards (comparative) eternity would be supremely so.
You've probably read it already, but Frans de Waal's _Chimpanzee Politics_ ends with the (thoroughly demonstrated by that point) claim that politics is older than humankind.
Hadn't read that book but I'll check it out, thanks!
It isn't pessimistic about us transcending chimp-ness either. The point is that when it comes to politics, we very definitely are not there yet. Not even close. We've done a better job of transcending our chimp-ness in just about every other field of human endeavor than we have in politics.
You mean the opposite? Isn't the theme of the day how hard it is to get the entire world to not swipe the ecological credit card of future optimism?
* Officials accepting bribes to approve unsustainable (and sometimes directly deadly) projects, so that they can fund their kids' education
* Regular folks not speaking up against injustice because "they've got a family to feed"
* The "think of the children" card (a.k.a. "we've forcibly cultivated a set of behaviors in our offspring in order to ensure ourselves a comfortable old age, and your radical novelty threatens to disrupt that, dammit")
* Genghis Khan propagating his genome through the reprehensible acts of rape and military conquest. (Although that's not really a "compromise" but the actual essence of a kind of "warrior ethos" that some contemporary populists derive their tripe from)
Point being, it's a sort of norm to excuse acts that negatively affect the well-being of our peers by saying we're doing them in the name of the well-being of our successors. (Not like anyone's asking the successors, who might not even be born at that point. It's just "how life is".)
Barring a "Chinese brain" interpretation, the "entire world" is not a coherent decision-making entity; the majority of human beings living at any point in time have had very little say in "how the world is". World-changing economic decisions are made by a minority - who probably don't have the diabolical motives that conspiracy theories ascribe to them, but are most likely just working in the interest of their children, too (consequences to everyone else's children be damned - which is a possible symbolic meaning of the popular "paedophile cult" conspiracy theory, presuming "lizard folk" symbolize disillusionment with representative democracy, etc.)
From an evolutionary standpoint, they absolutely are. The whole idea of life is to produce a variety of mutations in the hopes that at least some of them will be able to overcome hostilities that their predecessors couldn't win against.
>A lot of the suffering inherent to human life is caused by moral compromises made for the sake of future generations' well-being
Well, future generations' well-being is exactly the goal of life and evolution. Any species that fail at ensuring future generations' well-being get wiped out. Whether they like it or not.
Life is hard.
Preserving the status quo is the valuable piece. To me this is an evolutionary behavior. If you’re old, the status quo has likely been good to you and your offspring. Change risks that. When you’re young, your fear of death is non-existent and you’ve had fewer life scars (whether literal or figurative). If you add protection against death, you’re just increasing the risk-averse population whereas traditionally we’ve used death to weed that out over the long-term. In other words humans are naturally biased towards balancing generating change (youth) and resisting change (aging) since change often has risks or harm and you’re less able to weather it well and adapt in old age (at a minimum your brain’s elasticity helps you significantly while you’re young). Keeping people alive will distort that balance.
The question will be whether society can adapt fast enough relative to how quickly life extends. On its face a medical breakthrough that radically shifts aging for everyone would be pretty bad. A similar breakthrough that shifts it for wealthy people would also be bad on any number of fronts. Our legal and tax systems are designed around existing mortality and as you can see, at least in the US, it can take a long time for any changes in reality to be reflected there nor do those changes typically risk upsetting current power and wealth balances.
I don't think that's a given. Many people flat out don't believe in human-caused global warming, at least in America. A lot of people would also interpret it as an act of God-- perhaps judgement day coming- over the scientific consensus. Of course some people also hate to take responsibility, and we all know at least one person who avoids taking responsibility of their own life to the point of ruin.
I don't think society as a whole thinks as similarly as many assume they would. I also don't think humans are as rational with their decision making as we think. Once people acquire habits and addictions, they themselves have a hard time leaving them. I don't believe humans were designed to live forever,and all too common selfishness and ignorance proves that
I hope along with extending life we would also learn how to restore neuroplasticity to help reduce old people that are to set in their ways. Then maybe there would be less of a difference between young and old.
Now we scroll through feeds and pat ourselves on the back for increasing the average lifespan. No one asks whether these long lives are even worth living.
No one asks why progress for the sake of progress is inherently good.
That sounds a lot like propaganda line from a book of previous victors who got to write the history.
While I think you are not completely off - there were just undertakings that needed sacrifice of human lives - this line of thinking seems to be stained forever through constant cynical abuse by the powers that be and powers that aspire to be.
I don't particularly subscribe to romantic notions of causes worth dying for, but you can still die for a cause if aging isn't a thing. I daresay cannon fodder will exist, in some form... and it will be romanticised in the same way.
Causes worth dedicating life to... that tends to be more useful than dying for causes. In that frame, you have more to give if you have more life.
For what it’s worth, I used to find the arguments that we should put the brightest minds on space exploration over eliminating suffering as concrete, but nowadays.. can’t say they those arguments seem as watertight.. saying that as someone whose hands have touched some of these projects. Curious if others feel the same way or have points to make in the opposite direction
We're better off approaching them either more broadly or more narrowly. IE, we can dedicate resources to tighter goals, like reducing childhood mortality... a horrendous thing that most people suffered for most of humanity. We really made a lot of progress on this.
Alternatively, we can think of it more broadly... advancing as a species, culture and society. In that sense, space travel is a good idea.
Tackling the elimination of suffering head on is likely to resolve to "be a politician/priest/lawyer" or somesuch.
In any case, I think the mistake is thinking of everything as competitive, at a broad level. Rather, people tend to see ambitious, "humanities' first" goals as competitive with "eliminating suffering" or other broad goals. It's rare to hear people think that sports or cinema are competitive with the elimination of suffering.
I suppose there is some comfort knowing I'll probably die at age 90 or so.
Even if we get to the point where we live longer - particularly delayed senescence - we will still have to confront all of those things and may just end up gaining a few years and increasing suicide as the main cause of death.
I love the idea and think it would be wonderful but I think we are woefully underestimating how hard it’s going to be to push things much beyond demonstrated lifespans.
At the same time I think that dramatically improving quality of life for age 50+ is very doable.
The study hopes to find an optimal dose for humans using the various biomarkers as a guide. I’m not sure how well we can connect those biomarkers to actual longevity/healthspan.
Source: https://www.lifespan.io/news/a-campaign-to-launch-rapamycin-...
I am in my early 30’s, but my view right now is that I will live in the time I was born into and take reasonable steps to be healthy for a long life. I hope I get 60 more years with my wife, but when it is my time, it is my time, and I will accept that I have used the time and resources I was given.
Jason Isbell’s song “vampires” comes to mind. Part of what makes life “life” is death. And spending too much excess time and energy (one’s life) on expanding future life is… trading life for life. But likely missing time with family and friends who likely won’t get to live until they are 160.
Especially since physical activities often impact mental health anyway.
I don't understand people who say things like "I will live with the time I'm given". Do you reject modern medicine because that's an unnatural extension of your time? If you had a fatal illness that could be cured would you refuse treatment? Hand soap, fertilizer, and modern nutrition have likely extended your expected lifespan. Do you go without those as well?
I think it can sound romantic to stick with your natural span. Especially if that span extends out for decades yet. I expect it's another matter entirely to be on death's door.
A less selfish way to think about it is to imagine an elderly loved one. If your mother could take rapamaycin and live an additional 40 years in good health, would you prefer she die at 80?
I think death is a very bad thing and having a way to put it off is very good. Fatalistic attitudes confuse the issue.
Body of a 90 year old mind of a 30 year old is something i would take, though.
ok but it is not a 100% case that the mind of a 90 year old is the mind of an Alzheimer's patient. Michael Caine is 88 and I think he is doing relatively well mentally.
Basically I’d take either hypothetical form of treatment. Either is better then neither.
My point regarding having the brain of the 90 year old is not that that would be good, but that it would be better than having the brain and body of a 90 year old. I don't want to be frail and prone to injury if I could be healthy and strong.
Not really if you have dementia / alzheimer. You're stuck in a short term loop.
Assuming some breakthrough that makes age a number, and I can stay as sharp and healthy as I am now, then I still have an issue with sustainability. The earth has a certain carrying capacity, and keeping everyone alive for an indefinite amount of time is not sustainable for long.
Each generation gets its chance to run its course and the world evolves from it. Imagine if 75% of people from 1860 were still around - what is their view? How do they keep up with the changing times? Did they allow the world to come as far as it has? Or did the people stay in power indefinitely and keep things the way they were?
Aging, retirement, and death provide a natural opportunity for change that wouldn’t be there if you had people with 90 years of investment and connections making decisions and you wanted to make a change. Things would be a lot bloodier.
I don’t romanticize the fact I’m going to die. But I do think memento mori provides clarity and focus to what I’m doing.
I see the individual appeal of living indefinitely and keeping those you love alive indefinitely. But that is “in today’s world that I enjoy as I know it, given my current socio-economic status”. So would people allow that to change? What if it made them worse off?
Regarding social progress - first, it is the modern social views we would be extending and entrenching, not antiquated ones. We are extending the lifespan of Trump voters, not slavers or Jim Crow enthusiasts. Perhaps you are suggesting that our social views, in a hundred years, will seem as reprehensible as those of a hundred years past seem to us. However, there is no guarantee which way social views will progress. Perhaps, without amortals from our time future societies would have worse social views.
Second, I suspect the reason the elderly tend to be more close minded is related to their circumstances. Their minds aren't as plastic, their bodies not as hale, they can't get out to work and be a part of society, etc. If, instead, their bodies were hearty and their minds agile, they might be as amenable to influence as anyone else. We may find the social views of a healthy two hundred year old advance as steadily as society's.
Regardless, I wouldn't kill people or prefer they die just because they have regressive social views. We should convince them if possible or just live with them if not.
There are certainly problems that may arise from extending lifespan. I believe we can solve them.
A different study plans to evaluate Rapamycin for Alzheimer's disease, while being well aware of the positive effects on lifespan.
https://news.uthscsa.edu/ut-health-san-antonio-gains-2m-to-s...
This means that age-related diseases like heart problems, alzheimer, etc, should not occur (except where they already occur in young people).
In theory - this assumes that the drug has an equal effect across the entire system and that all organs will age at the same rate. It may, for whatever reason, not be the case and things will age at different rates.
How about senses? Hearing loss can be non-repairable. Likewise with vision / macular degeneration that may not be fixed with this. How about taste?
It’s a nice idea to think that everything will just stay the level of a 30 year old over the period of 100+ years is, in my opinion, wishful thinking. It will still age, just in different and unexpected ways.
Not all aging is cellular indeed.
So what you are proposing is designing drugs that extends life and cripples the mind. That is very hard.
If you want to be really evil make it cripple the body as well. But that'd be fucking fucking hard.
HN really overestimates scientists. They are not that smart. They barely can extend human life yet. Let's calm down on the evil life extension possibilities for now. One day perhaps. But you'll have to live long enough to see it.
And my concern wasn’t that the drug would cripple the mind - my concern is that the drug may extend the life of most organs but not be as effective on the brain (or vice versa, or impact them at different rates).
This is a non sequitur. It's not a life extending drug if you forget how to breath correctly or are in a coma.
Perhaps you need to be a little older to fear age, but when you see people dying of cancer who have children, which these drugs will delay, you might see that 6 months extra for their children might mean whether they remember their parent at all, or an extra chance to play ball or a programming session or to reach puberty and have a more mature conversation with them.
You die when your times comes is a slogan for the youth. People on their death beds at 90 are scared and crying and fear what is to come.
I've been thinking about starting Rapamycin, but I need to sit down and do the research first. It's a pretty serious drug. But you are not going to be keeping your body healthy 30 years - 140 years with green tea and exercise.
But I don't get why people don't want to slow down their ageing at all. I get people like the idea of eternal life as a cripple, it's a 2000+ years old story https://en.wikipedia.org/wiki/Tithonus but it's not practical.
I do not want to be on my deathbed scared at 90. But I think the person who is scared on their deathbed at 90 would also be scared at 120. It’s not like that extra 30 years will make that person OK with dying - if they aren’t by 90 they likely won’t be 30 years later.
I think accepting death as a part of life is important to living. No - I don’t want to die. Yes - I want a long life. Aging is natural and I think it’s important to experience the aging process. Maybe I’ll look back in 50 years and call myself dumb, but if I make it to 80 I’m happy.
Even if the modern reincarnationists were right and brain was just a TV set channeling the mental "signal" instead of the source of your mind, it is pretty clear that a broken brain is usually part of a broken body. Degraded metabolism, stiff arteries, cancers, most such pathologies involve the entire organism.
Things like CTE can only be diagnosed post-mortem, so research on those things would slow significantly (unless people who got it killed themselves like others have).
I am specifically speaking to head trauma, mental disorders, and issues with the brain. Things we don’t know how to treat or fight, that a 30 year old body would only serve to prolong the pain and decline caused by the illness.
But you can't enjoy years 90-150 without first surviving years 30-90.
Humans are statistically bad at doing the simple things that would help us live longer, like eating right, exercising regularly, and getting enough sleep. Most of us aren't going to make it to 90, and it's about half-and-half cancer versus heart disease what will kill us along the way.
Sure, I could exercise regularly, etc, and maybe reduce my chance of dying before 90, but as a statistical American there's an 80% chance I'm not gonna, and a 40% chance it will kill me.
Hence, I'd be much more excited if they could fix that with a pill. Fixing the dying of "old age" as my cellular machinery slowly degrads, also good, but I've got to survive long enough for that to be a problem first.
Personally, I'd be perfectly happy eating my bacon with low-carb bread for my entire life and working out a couple times a week if it guaranteed an extra 60 healthy years (although I'm biased because I already do both of those things).
Making it to 2130 could buy one an extra 20-30 years.
iirc, the side effect profile was pretty mild nausea, so definitely a viable option if you're in the market for FDA approved weight loss/control drugs
I guarantee you that if you were moments from entering that eternal and infinite void, and someone offered you a rewind button to take the second path, you would press it in an instant.
May 21: “The Dirty Drug and the Ice Cream Tub”
Crazy story. Named for Rapa Nui because it was found in the soil on Easter Island. Smuggled into america by a scientist.
As such, longevity research is crowdfunded by a small community that is willing to face the existential horror head-on by acknowledging it and attempting to actually do something about it.
Anyway, good fortune to them.
In any case, these organizations never promote something so radical as a potential elixir of life, but rather incremental improvements.
This was a useful belief for humans to develop when there was nothing we could do about death, but now it actively inhibits progress.
But I can also think of a few others. Will my poor cousin India, me, and the millionaire rapper Lil Jon all have equal access, or will cost 50 million? Or, if giants like Rockafeller could continue to gain experience and acquire more money indefinitely would the economy be the same way it is today? Another thing to consider is; death can be an equalizing factor-- Steve Jobs died and now he's not part of the labor market. But if he were, he'd certainly get hired over any newcomers. Now multiply that times 1000 as more and more exceptional people become common. There will also come a point where the planet will be overpopulated and we have to choose who gets to live forever and who has to die. Ect, ect..
I think these ideas really need to be answered before people will be comfortable with the idea of a technology that allows some to live forever.
These are problems to solve, but they shouldn't block saving billions of lives. For what it's worth, any real cure to aging would be nationalized by every state on the planet, lest they risk facing internal collapse.
rapamycin is an immunosuppressor. what that means it’s suppressing your immune system (it’s normally given with organ transplants) at the normal dose, as a possible side effect of this suppression your immune system may not be able to fight cancer for example. To say that rapamycin causes cancer is an exaggeration.
now, in this trial the dose is nowhere near what you would get for a transplant. it’s speculated that small doses have a hormetic effect and it actually stimulates your immune system to trigger biological garbage collection paths that normally are not exercised. as a result you end up with cells that are younger. at least that’s the theory.
lookup MTOR, and mtor1 and mtor2. learn a bit about it before scaring people away from what could be a breakthrough way of treating aging
I’m guessing there have been studies of a similar nature, but not in a way that’s public or where you may get to know some of the participants before/after these little exposes.
For my part i stopped reading the comment you replied to after the first sentence. People that don’t have enough self control in the instant to moderate their speech to a basic level of civility aren’t likely to follow it with nuanced perspective.
In my opinion there is zero excuse for whataboutism and I heard a story that said that...
I think part of the problem with today's society is that nobody calls BS anymore and we are more concerned with not being perceived as aggressive vs grounding people into reality. We get to make our own "facts".
That being said, there is a way to call BS without being rude but refuting BS is usually an order of magnitude harder than generating. Also, in my experience, a lot of time people that are spewing BS are not interested in a constructive conversation. They just want to feel smart and/or like hearing themselves talk.
To answer the rapamycin question: the normal dose that is given in case of an organ transplant is 6mg on day one and after that 2mg per day. That makes for 14-18mg/week. For longevity what I've heard is 3-5mg once per week.
Now take your normal OTC drug, let's say Tylenol and take 3-4 times the recommended dose. Liver injury or even liver failure follows.
http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021...
Even if it cures some cancers, it may cause others (skin and lymphoma according to the study above). And the inventor's story is an anecdote, not a study.
I'm not saying with any confidence that Rapamycin is a bad thing. I'm just asking a question, which I think is fair, considering the long list of strong adverse effects in higher dosages:
https://en.m.wikipedia.org/wiki/Sirolimus#Adverse_effects
Perhaps these side effects don't show in low doses. But I don't know that, and the linked article doesn't discuss it, so I'm asking.
https://www.pfizermedicalinformation.com/en-us/rapamune/dosa...
Unfortunately, death is a difficult topic for people to discuss and think about. It is mental hazard that induces existential dread, so it is very difficult to hold anyone's attention long enough to garner support for longevity initiatives. People convince themselves that death is in some indefinite future, and that they are okay with dying, but on the deathbed that fear and horror of the eternal void is always there.
But if offered on their deathbed to give up everything they have for a chance to live longer, most people would take it at that moment without hesitation. However, we are immature beings, without a propensity for long-term planning, so most people neither donate nor advocate for longevity research.
I think massive strides in longevity are possible today with enough research. The problem is funding. The problem is garnering social support.
We spent trillions of dollars fighting COVID, which will affect a select few, but we cannot spend a minuscule fraction of that on aging, which has the same end result, but for everyone. It's shortsighted and sad.
Sure, death and aging are hard topics.
But not having any more data about what funding bodies have to say, I would go for the sad and simpler explanation : all proposed "cure for aging" in the history of mandkind have turned out to be ineffective (either disappointing or scams)
(Whereas "cure for fatal disease" have kind of a track record.)
This, I believe, will end the day we have a tech that's "promising enough", but "enough" will be hard to reach.
I don't find it unfair to have a higher bar to clear for "elixir of youth" than for "covid-19 vaccine".
This shows that people are more content with ignoring the horror of death than actually trying to fix it.
It's one thing to not fund an organization you've never heard of, that is making claims you're unsure of. It's another thing to not even try to solve a pressing problem with public funding and/or initiatives.
Clearly, people find death problematic, given the lengths we go to avoid it when it comes within striking distance. We moved the world to deal with the imminent threat of COVID. But when death is not near us, we tend not to think about it at all - we actively avoid thinking about it, even.
I think future historians will find this general shortsighted behavior quite interesting - how can a species that so profoundly fears death collectively ignore the issue of aging so as to not even dedicate a noticeable fraction of money, time, and effort into solving aging?
That would still be a major boost to health of said individual.
Most of such improvements will probably be invisible. If they manage to reduce skin age, too, they will wallow in money.
No, some of us simply conclude that anything beyond the usual exercise, eat healthy, etc has negative payoff.
In other words: devoting oneself to a lifelong quest for longevity can be expected to consume far more years of life than it will add. And those years consumed will be younger, healthier, more alert years than any to be gained.
What does it matter as long as they release the data and their methods. Then someone else can verify it. So it is just science as usual really when you think about it.
Models of financing science change all the time. Most of the breakthroughs before 1950 were not funded by means that we currently consider usual and current models of financing science are, to a degree, holdover from the Cold War. But note that the same does not apply to applied technology: the VC model that runs Silicon Valley is very successful compared to the usual grant structures.
It is the Online Age now and crowdfunding is an alternative that wasn't available before. There will inevitably be a lot of misses and outright frauds, but I prefer a world with alternatives that do not depend on bureaucracy as much.
Notably, the longevity researchers spent a lot of energy to get aging classified as disease. This is finally bearing some fruit, but I can't help thinking that the same energy could have been spent better in their areas of expertise, not in lobbying.
On the other hand, a crowdfunding campaign can be managed by interns.
https://www.nia.nih.gov/research/dab/interventions-testing-p...
Rapamycin – Increased mean and maximal lifespan in both males and females when initiated at 20 months of age (Harrison et al., 2009) and when initiated at 9 months of age (Miller et al., 2011). Females responded more robustly than males at equivalent doses; when ~ equal blood levels were achieved, response was also about equivalent in females and males (Miller et al., 2013).
If it works and it's expensive, it will create a class division if "Haves and Have-Nots" more awful enough to create civil unrest on an incredible scale.
I hope it works, but if it does it's hard to see an implementation path that ends well.
I’m not sure what you mean by “make us grow more mature”, but there could conceivably be some major technological advancement that would give us enough time to deal with the sociological effects of increased longevity. For example, electric cars are taking over, CRISPR gene editing exists, fusion is moving forward with the ITER project and various start-ups, space rockets are now reusable, etc.
I would say we have more objective reasons to be optimistic about our future prospects than not. Things are getting better, and it might just be that train wrecks and car crashes are more interesting to focus on. No one writes stories about the days that someone gets home on time safely.
Right now about 80% of men in the US live to 65. If you slow aging by 1/10 so someone at 650 would theoretically be as healthy as a current 65 year old only ~(0.8) ^ 10 or 10.7% of men live that long.
Push it to say 1/100th and accidents are basically going to kill everyone while their healthy, in theory only about 7% of men would live to the equivalent of 30.
The individualist myopia with all things life-extension is staggering.
Let’s push things to a 1,000,000,000 years theoretical lifespan. At that point freak accidents are extremely deadly. Essentially your arguing people will 1:1 become more cautious as lifespan increases. Further, that caution will make a difference, you can play it safe that’s not going to prevent terrorist bombings etc on those timescales.
However, even if you take the most beneficial version where the odds of a heath issue killing someone by age X is the equivalent of dying from a health issue by 1/10th your age that doesn’t stop accidents. If your risk of car accident at age 30 is X the slowing aging by 1/10th still rolls that dice 10 times by the equivalent of 31. As such people’s odds of reaching the equivalent of 65 still drop as you slow aging.
On top of this stuff like smoking cares more about the number of years you smoked than your age. A 50 year old with 30 years of smoking isn’t that likely to die before 51. However, someone that started at 200 and tries to smoke for 300 years isn’t going to make it to 500.
The thing that comes to mind is that it overcomes or breaks various “policy levers” that rely on an expected course of life. Some examples: 99-year leases, defined benefit pension plans and life insurance policies.
I also wonder how many mainframe systems assume a maximum possible age of 2^7 years.
Yep, a whole new Y2K when people live 2000 years. And then many years later, "sorry boss it's gonna crash in a few months. The was written in ancient times and only supports 32bit ages."
What I'm trying to say is that just from an economic point of view, it's more beneficial to rejuvenate people enough that they don't have any age-related conditions than to treat those conditions. Even if the cost of whatever the rejuvenation intervention is is high. So, IMO, it's very unlikely that we'll see a class division, especially in countries with universal healthcare.
> this would make you ageless until one day you drop dead
No, that's not how this works. How would a person die of an old chronological age if their biological age is, as far as their body is concerned, still 25 years? It's not like there's a time bomb that goes boom after a certain number of years regardless of what you do.
Even without aging, humans aren't immortal. There's a probability of dying from something other than medical issues. Eventually that adds up.
I think the people willing to give up travel at greater-than-walking-speed, sports, hiking, etc in order to live longer is small enough that they won't be a burden. I'm not sure I would really call that "living" myself, but it's their choice.
Totally not reliable, but I once heard an estimate that if aging was cured, the average lifespan would be about 600 years due to various forms of non age related death-- accidents etc.
It’s a group survival thing. It’s helpful to have some reckless members because they discover solutions that others would never explore. In particular, young males have been prewired by evolution to generally be the most reckless members of a group because they are the most expendable. The number of young females determines a group’s reproductive rate and older members tend to have critical skills, knowledge, and wisdom. I speak as a former young male who explored more than his share of possible solutions for the group.
Presumably though even if biological aging were somehow paused at the level of young adulthood, I would think cognitive development would still proceed, so young males would still outgrow that reckless period.
If we can possibly keep the immune and cardiovascular system young indefinitely, thus staving off heart disase and cancers, what is going to break down next? Possibly something within the brain.
Even countries with universal healthcare have it to a lesser extent when, depending on the country, the wealthy can still pay out of pocket for the highest quality private doctors. Or travel to another country like the US that will give you the highest level of care that you're willing to pay for.
As for rejuvenation vs elderly care, that only gets around the problems I mention if rejuvenated people still love about the same amount of time, just with a higher quality of life. Any treatment that increases life span will either cause a a massive population boom, or class-differentiated civil unrest.
Longevity doesn't help with any of that.
why would that be a problem? the healthier the older population gets, the more they can work and produce more (instead of "retiring"), and this production includes making more infrastructure (directly, or indirectly via taxation).
If it became widely available, the second that happened it would be a race to invest in infrastructure and especially higher yield food production-- investments that would need to be measured in large fractions of the world's GDP.
And it wouldn't even add to the viable workforce for a while: this is life extension, not rejuvenation. We're stuck with the working population we have now: People past 65 aren't going to be able to get out there and build infrastructure. Plenty of them wouldn't want to either if they were otherwise near retirement or actually retired: It would require uprooting their entire lives to change tracks.
I'm not saying it's theoretically impossible, just that I see no likely way it would actually happen given the state the world is in right now.
Either way, a widespread treatment becoming available over a relatively short period of time would not give society time to adjust in this way. There would be a crisis, perhaps even imposed limits on having children in many places. Assuming we got through it, things might settle down.
The hard upheaval to deal with is if it was available only to the wealthy. Class warfare would be taken to a whole new level.
If we expect a longer lifespan and higher odds of survival for potential children, our instinct is to delay reproduction and have fewer children in order to increase resources available per child.
This instinct developed over a very long period of time, but our technological advances have created a degree of safety and abundance that our instinct was never “trained” on and thus I suspect it is over-suppressing fertility. A longevity breakthrough will appeal to this instinct even more strongly than living in one of today’s highly developed countries. Consequently, I think our instinct will then suppress fertility even further.
Do people in America with one or two children really not have more because they think this is maximizing the expected number of grandchildren? This doesn't seem realistic to me. I think in American even the working poor commonly have children (often more than the wealthy).
It was meant to. My intent was to stimulate thought, not to conclusively prove. There’s great disagreement among researchers studying fertility, income, life expectancy, and such. These are merely my conclusions, which differ from those of many others.
> Do people in America with one or two children really not have more because they think this is maximizing the expected number of grandchildren?
Yes, but my argument is that this is more instinctive than it is conscious thought. For example, women are increasingly having their first child after 30 because they know it is possible to do so successfully and it gives them more time to establish a career and find the best mate. This increases expected resources available per child and expected genetic fitness. In essence, they are instinctively trying to maximize their probability of having children that successfully reproduce, but it tends to lead to fewer children than optimal because our instinct is poorly calibrated to today’s environment.
> I think in American even the working poor commonly have children (often more than the wealthy).
Correct. They also have shorter life expectancy than the wealthy.
Also thinking a bit bigger picture, even if people didn't die of old age at all, couples could still have approximately 1.1 children each on average without the population increasing beyond ~1.5x its initial level. Of course, even that level of restriction seems far-fetched (but then, so does a cure to aging), but it's not like people would need to stop having children entirely.
There are precisely zero nations on this planet whose citizens would accept death should a true cure become available. Governments would be faced with either total destruction or producing the cure themselves.
I'd like to see life extension become a bigger industry than advertising within my lifetime.
Also, scientist who has found this compound and saved it in his freezer to be used for transplants rejection problems, applied rapamycin on himself when he was given 6m to live prognosis based on late stage cancer he had. He lived 5 more years, and died short after he stopped taking rapamycin, to prove it was responsible for the cure. Amazing story.
If you wanna go deeper, lookup papers by Blagosklonny ok rapamycin. It’s fascinating stuff.
Also, do you know about the Dog Aging Project? yup Rapamycin trials on dogs.